PROJECT APPLICATION FORM.

Project name
Applying organisation,
legal status (e.g. NGO, charity etc.)
Registration date
House number, street
Postcode
Town & province
Country
Telephone and country code
Email
Website
Bank account / bank name
Account number (IBAN)
Sort code(BIC)
Authorised signatory and representative
(Surname, forename, contact details)
Organigram
(e.g. how many persons employed, what functions, insert a graphic if possible)
Short description of the organisation
(aims, other projects, max. 500 characters)
What was your overall organisational budget in / 2015/2016 / 2016 /2017
Please list some of your previously implemented projects (if applicable) / Project / Year / Budget / Funding Source
Please elaborate on one of the previously implemented projects. (Ideally a project that clearly demonstrates your capacity in the field/sector applied for.)
Name of the project
Project manager
(if different from the signatory)
Surname, forename, contact details
Country and target region
Target group
Summary of the project (max. 500 characters)
Detailed description (max. 3000 characters, if a longer description is necessary, please submit this separately as an attachment*)
Measurable project goals
(e.g. number of service users, increase in income per household, turnover from new land, possible opportunity costs)
Aims/Impact (The desired overall impact of the initiative or project)
Objectives/Outcomes (The changes that need to be made to achieve the aims)
Project duration
Project website, if applicable
Communication tools, if applicable(i.e. Facebook, website, newsletter, flyer…)
Total costs + funds applied for
(please stateamount in local currency and €) / Total cost of project / Funds to be covered by Lemonaid and ChariTea e.V. over complete time period in EUR.
2017 / 2018 / 2019
Please name transparently other partners, cooperations, co-fundersfor the specific project applying for.
(If there is a co-funder, please differentiate clearly in the finance plan between your own funds and those of third parties.)
Additional information
Do you have a monitoring and evaluation plan, system or strategy for this project?
(Please indicate if you are planning to use an external evaluator)
Yes/No (If yes please attach it to the application.)
How are you planning to monitor and evaluate this project?
We are going to monitor our achievement of the project aims and objectives on the following key indicators (for which baseline data is available):
1. (e.g. numbers of jobs created, numbers of learners taking advantage of training, numbers of learners finding formal employment, number of households with access to water etc.)
2.
3.
4.
Activity Plan.
Please break down the activities mentioned above.
(If you have a project plan or operational plan that includes timeframes and implementation information please attach it to the application)
Key Activity / Start Date / End Date / Output (What are you hoping to achieve) / Who is responsible?
Add rows as needed.
Do you have a sustainability strategy or plan for this project? / YES/NO (If yes please attach to the application)
Please provide a statement on prospects for the sustainability of the project beyond funding support from Lemonaid & ChariTea e.V. (max. 1000 characters)
What do you currently do, or envision to do in the future, to generate your own project funds?
Are you aware of your projects current ecological and environmental impact and if it is negative, what are you currently doing to mitigate it? (e.g. refuse division, recycling, composting, usage of alternative energy sources or any other activities…)
What do you currently see as the biggest threat or challenge to the success of your project or initiative?
What are you doing to mitigate the above-mentioned challenges?

‚Formularbeginn

We reserve the right to edit texts for use on the website and in communications for Lemonaid & ChariTea e.V.
By sending photos and logos, you agree to us using them indefinitely on Lemonaid & ChariTea e.V’s website and in promotional materials. You guarantee that we can use the photo and logo without needing permission (e.g. for copyright reasons) from any third party.
The applying organisation complies with social and environmental guidelines in force nationally and will do so for the duration of the project.
The applying institution is not the plaintiff, defendant, complainant or respondent in any criminal or civil lawsuit or other legal investigation. The organisation must inform Lemonaid & ChariTea e.V. immediately if they become involved in such a process after the project begins.

Formularende

Signature ......

I hereby guarantee with my signature that the information given here is correct.

Document checklist:

Formularbeginn

Project application (this document)
Founding documents of the organisation (registration certificate etc.), tax certificate with tax number, certificate (no older than 3 years) of the organisation’s charitable purpose are attached
Finance and budget plan (including details of own and third party funds) are attached. Please attach as an Excel document (see example)
Please send a representative photo of the project (300 dpi) and the logo of the applicant.

Formularende

1